- Cardiac Valve Diseases and Treatments
- Cardiac Structural Anomalies and Repair
- Cardiovascular Function and Risk Factors
- Cardiac pacing and defibrillation studies
- COVID-19 diagnosis using AI
- Telemedicine and Telehealth Implementation
- Cardiovascular Issues in Pregnancy
- Cardiac Arrhythmias and Treatments
- Acute Myocardial Infarction Research
- Mental Health Research Topics
- Digital Mental Health Interventions
- Healthcare cost, quality, practices
- COVID-19 and healthcare impacts
- Non-Invasive Vital Sign Monitoring
- Hypertrophic osteoarthropathy and related conditions
- Congenital Heart Disease Studies
- Male Breast Health Studies
- Dermatologic Treatments and Research
- Maternal and fetal healthcare
- Cardiac and Coronary Surgery Techniques
- Anxiety, Depression, Psychometrics, Treatment, Cognitive Processes
- Ovarian cancer diagnosis and treatment
- Genital Health and Disease
- Pulmonary Hypertension Research and Treatments
- Dermatological diseases and infestations
Leiden University Medical Center
2018-2024
Leiden University
2015-2019
Despite significant efforts, the COVID-19 pandemic has put enormous pressure on health care systems around world, threatening quality of patient care. Telemonitoring offers opportunity to carefully monitor patients with a confirmed or suspected case from home and allows for timely identification worsening symptoms. Additionally, it may decrease number hospital visits admissions, thereby reducing use scarce resources, optimizing capacity, minimizing risk viral transmission. In this paper, we...
Recurrent mitral regurgitation (MR) has been reported after valve repair for functional MR. However, the impact of recurrent MR on long-term survival remains poorly defined. In present study, mortality-adjusted rates, clinical and its determinants were studied in patients with revascularization setting ischaemic heart disease.Long-term echocardiographic outcome was evaluated 261 consecutive restrictive annuloplasty moderate to severe MR, between 2000 2014. The cumulative incidence ≥ Grade 2,...
<b>Tele-monitoring during the COVID-19 pandemic is recognised as a safe strategy to monitor patients at home. This first controlled study that demonstrates effectiveness of home monitoring reduce hospital admissions 28-day follow-up.</b>https://bit.ly/39vvngH
Chest pain is a common reason for consultation in primary care. To rule out acute coronary syndrome (ACS), general practitioners (GP) refer 40%-70% of patients with chest to the emergency department (ED). Only 10%-20% those referred, are diagnosed ACS. A clinical decision rule, including high-sensitive cardiac troponin-I point-of-care test (hs-cTnI-POCT), may safely ACS Being able at GP level reduces referrals and thereby alleviates burden on ED. Moreover, prompt feedback reduce anxiety...
Abstract Background The COVID-19 lockdown had profound effects on society and healthcare. Cardiology departments reported declines in chest pain evaluations acute coronary syndrome (ACS) diagnoses. However, the pattern of primary care is not clear yet. This study aims to assess impact number patients presenting with care. Methods Routine data from Extramural LUMC (Leiden University Medical Center) Academic Network (ELAN) Netherlands were used. Chest consultations January 2017 December 2020...
Download This Paper Open PDF in Browser Add to My Library Share: Permalink Using these links will ensure access this page indefinitely Copy URL DOI
The aim of this study was to determine the prevalence left ventricular reverse remodelling (LVRR) and recurrent mitral regurgitation (MR) at mid-term follow-up (1-2 years after surgery) in patients personalized surgical treatment heart failure functional MR due non-ischaemic cardiomyopathy assess their prognostic impact on long-term clinical outcomes.Consecutive with refractory MR, who underwent valve surgery or without additional procedures, were identified. Patients complete preoperative...
Restrictive mitral annuloplasty (RMA) can provide a durable solution for functional regurgitation (MR), but might result in obstruction to antegrade flow. Aim of this study was assess the magnitude change valve area (MVA) during exercise after RMA, relate MVA left ventricular (LV) geometry and function, its haemodynamic clinical impact. Bicycle echocardiography performed 32 patients RMA. Echocardiographic data at rest were compared with preoperative echocardiographic data. Clinical endpoints...
<sec> <title>UNSTRUCTURED</title> Despite significant efforts, the COVID-19 pandemic has put enormous pressure on health care systems around world, threatening quality of patient care. Telemonitoring offers opportunity to carefully monitor patients with a confirmed or suspected case from home and allows for timely identification worsening symptoms. Additionally, it may decrease number hospital visits admissions, thereby reducing use scarce resources, optimizing capacity, minimizing risk...
Introduction: Restrictive mitral annuloplasty (RMA) can provide a durable solution for functional regurgitation (MR). Implantation of downsized ring might however induce stenosis at rest or, more pronounced, during exercise, with potential clinical impact. Hypothesis: We evaluated the hypothesis that RMA does not clinically relevant exercise. Methods: Semi-supine bicycle exercise echocardiography was performed in 32 patients after (ring sizes 24 or 26) MR. Left ventricular volumes and...